Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $12.63 / $14.80	Professional		$12.63	$12.63	$14.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $11.84 / $35.14	Professional	26	$7.67	$11.84	$35.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $4.96 / $4.96 / $4.96	Professional	TC	$4.96	$4.96	$4.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $9.17 / $9.17	Professional		$9.17	$9.17	$9.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.56 / $18.35 / $23.02	Professional	26	$5.56	$18.35	$23.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.09 / $128.09 / $128.09	Facility		$128.09	$128.09	$128.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $29.41 / $30.96	Professional		$20.77	$29.41	$30.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.25 / $17.35 / $18.48	Professional	26	$12.25	$17.35	$18.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.50 / $12.05 / $12.68	Professional	TC	$8.50	$12.05	$12.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $37.33 / $46.27	Professional		$34.49	$37.33	$46.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.95 / $22.68 / $27.30	Professional	26	$20.95	$22.68	$27.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.00 / $14.63 / $18.95	Professional	TC	$11.00	$14.63	$18.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $40.42 / $100.00	Facility		$12.63	$40.42	$100.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $22.01 / $130.47	Professional		$16.54	$22.01	$130.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.63 / $21.03 / $35.00	Professional	26	$11.63	$21.03	$35.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $5.22 / $8.00 / $95.76	Professional	TC	$5.22	$8.00	$95.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $37.33 / $51.20	Facility		$32.00	$37.33	$51.20
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $32.08 / $32.08 / $32.08	Facility	26	$32.08	$32.08	$32.08
Midlands Facility/Professional Facility Modifier TC Low / Median / High Price $19.13 / $19.13 / $19.13	Facility	TC	$19.13	$19.13	$19.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $37.33 / $46.27	Professional		$29.00	$37.33	$46.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $18.51 / $37.40	Professional		$8.81	$18.51	$37.40
United Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $20.34 / $39.61	Professional		$12.20	$20.34	$39.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.05 / $12.37 / $23.92	Professional	26	$11.05	$12.37	$23.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.22 / $7.97 / $15.94	Professional	TC	$5.22	$7.97	$15.94